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Richard Cornell Gardea

Counselor, Mental Health in Santa Ana, CA. Individual provider (NPI-1).

NPI number1124121306
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1124121306
Entity type
Individual (NPI-1)
Name
Mr. Richard Cornell Gardea
Sex
Male
Sole proprietor
No
Enumeration date
Sep 6, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

405 W 5th St Ste 550
Santa Ana, CA 92701-4519

Phone 714-834-4707

Mailing address

13428 Biola Ave
La Mirada, CA 90638-2953

Phone 714-517-6353

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